Value-Based Care Actuary

Job Summary

Seeking a full-time remote Value-Based Care Actuary, the successful candidate will evaluate, price, and manage risk for provider organizations involved in complex value-based care arrangements, while influencing underwriting strategy and expanding market presence.

Key Responsibilities

• Partner with underwriting leadership to evaluate and price Aggregate Excess of Loss opportunities
• Analyze healthcare claims experience and provider performance to assess risk arrangements
• Develop actuarial models and pricing methodologies to support underwriting decisions

Required Qualifications

• ASA or FSA designation (or equivalent actuarial credentials)
• 7+ years of actuarial experience within a major health payer or healthcare consulting organization
• Deep expertise in value-based care programs and provider risk arrangements
• Strong understanding of healthcare claims analytics and risk adjustment
• Experience supporting Medicare Advantage, Commercial, Medicaid, or similar risk-bearing programs